376619438-10-6-2021-51-CC-TDAL-C7Q4Q6-20211011191747

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376619438
Report Date: 10/06/2021
Date Signed: 10/06/2021 02:29:00 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2021 and conducted by Evaluator Nancy Diaz

COMPLAINT CONTROL NUMBER: 51-CC-20210825154749

FACILITY NAME:	CALDWELL, KIMBERLY FAMILY CHILD CARE		FACILITY NUMBER:	376619438
ADMINISTRATOR:	KIMBERLY CALDWELL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 328-9748
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY:	14	CENSUS: 8	DATE:	10/06/2021
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Kimberly Caldwell		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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1. Licensee hit day care child resulting in bruises.
2. Licenseee did not administer day care child's prescription medication.
3. Licensee yells at day care children.
4. Licensee makes inappropriate comments towards day care children.
5. Licensee allowed a day care child to cry for an extended period of time.
6. Uncleared adults around day care children.
7. Licensee uses inappropriate feeding methods.
8. Licensee is not meeting requirements of 80% at the facility.

INVESTIGATION FINDINGS:

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On 10/6/2021 @ 2:10pm, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection to deliver the findings to the above allegations. Initial inspection was conducted on 8/27/2021. Met and toured the facility with Kim Caldwell. Observed present today were 8 (napping) children.
Parents that were interviewed did not have any concern relating to the above allegations. Licensee, staff and children were interviewed. Children did not express any concerns regarding services received at the daycare. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, there for the allegations are unsubstantiated.
An exit interview was conducted with Mrs. Caldwell. Appeal rights were reviewed and a written copy of appeal rights (LIC 9058 01/16) was provided. Licensee's signature on this form acknowledges receipt of these rights. No deficiencies observed in the areas inspected during today's visit. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Mrs. Caldwell post notice of site visit.
NO DEFICIENCY CITED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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